Childhood factors and war zone stress in chronic PTSD

被引:13
作者
Donovan, BS
PadinRivera, E
Dowd, T
Blake, DD
机构
[1] KENT STATE UNIV,DEPT COUNSELING PSYCHOL,KENT,OH 44242
[2] VET AFFAIRS MED CTR,NATL CTR POST TRAUMAT STRESS DISORDER,PALO ALTO DEPT,MENLO PK,CA 94304
关键词
PTSD; childhood factors; Stress Evaporation Theory; Residual Stress Theory; combat exposure; Vietnam veterans;
D O I
10.1007/BF02110668
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
This study assessed the predictive validity of combat factors and selected premilitary variables (i.e., childhood physical abuse, substance abuse in the family of origin, or being raised in a nonadaptive or noncohesive family) on posttraumatic stress disorder (PTSD) group membership. In addition, if assessed the correlation of combat exposure and selected premilitary variables with the severity of PTSD symptomology. Ninety-three male Vietnam combat veterans with PTSD were compared to 82 male Vietnam combat veterans without the disorder: The results of two hierarchical legit analyses identified combat exposure as the best predictor of PTSD group membership. However physical punishment was also found to significantly predict group membership when entered first in the analyses. Furthermore, multiple regression analyses conducted with the PTSD group alone found that both combat exposure and physical abuse predicted greater PTSD symptomology. These findings suggest that childhood physical abuse as well as military trauma should be addressed in the assessment and treatment of chronic PTSD patients.
引用
收藏
页码:361 / 368
页数:8
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